Amended Certificate Of Authority - Foreign Nonprofit Corporation

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Foreign Nonprofit Corporation
See attached detailed instructions
Standard Filing Fee $20.00
Filing Fee with Expedited Service $70.00
UBI Number:
AMENDED CERTIFICATE OF AUTHORITY
Chapter 24.03 RCW
SECTION 1
:
NAME OF CORPORATION
(as currently recorded with the Office of the Secretary of State)
SECTION 2
DATE ORIGINAL WASHINGTON CERTIFICATE OF AUTHORITY WAS ISSUED:
SECTION 3
AMENDMENTS TO CERTIFICATE:
(if necessary, attach additional information)
*For name changes: Include a “filed” stamped copy of the document verifying the change has been made in
the home state or country*
SECTION 4
EFFECTIVE DATE OF THE AMENDED CERTIFICATE:
(please check one of the following)
Upon filing by the Secretary of State
Specific Date: __________________
(Specified effective date must be within 30 days AFTER the Amended
Certificate has been filed by the Office of the Secretary of State)
SECTION 5
SIGNATURE OF OFFICER:
This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.
X __________________________________________________________________________
Signature of Officer
Printed Name/Title
Date
Phone Number
Foreign Nonprofit Corporation – Amended
Washington Secretary of State
Revised 07/10

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